Individual
DR. MICHAEL D. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 FRANKLIN VILLAGE MALL, KITTANNING, PA 16201-8803
(724) 543-3278
(724) 543-3283
Mailing address
250B BUTLER CMNS, BUTLER, PA 16001-2485
(724) 987-4368
(724) 431-4307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD022713E
PA
207Q00000X
Family Medicine Physician
MD022713E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000410457
BLUE SHIELD
PA
05
—
0009625590005
—
PA
01
—
252317
UPMC
PA
Enumeration date
10/27/2005
Last updated
07/27/2012
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